Organization Active NPI

Leeann Ambulance Service Inc

  • Land Ambulance
  • Moca, PR
National Provider Identifier
1952463739
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 449 Issued in PR
Legal business name
LEEANN AMBULANCE SERVICE INC
Doing business as
L.A.S.I.
Practice address
Carr 111 KM 13.0
Bo Capa
Moca, PR 00676
Phone
(787) 214-9833
Fax
(787) 551-7104
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jensen J Feliciano Muniz, SR
Title
President
Phone
(787) 214-9833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 449 PR Primary

Addresses

Primary practice location

Carr 111 KM 13.0
Bo Capa
Moca, PR 00676

Mailing address

HC 1 Box 6670
Moca, PR 00676-9529
Phone (787) 214-9833

Other names 1

  • L.A.S.I. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070327000194 PR Part B Supplier - Ambulance Service Supplier 7618071937 Practice locations: Moca, PR

National Provider Directory

National Provider Directory

Locations

100 Carr 311
Cabo Rojo, PR 00623
Phone (787) 464-7842

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1952463739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6670",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769529",
            "telephone_number": "787-214-9833",
            "fax_number": "787-551-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 13.0",
            "address_2": "BO CAPA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-214-9833",
            "fax_number": "787-551-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEANN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "FELICIANO MUNIZ",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-214-9833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SR"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A.S.I.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.